| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2011 |
Crisis interven svc, 15 min |
46,391 |
8,522 |
$14.79M |
| H0036 |
Comm psy face-face per 15min |
84,153 |
27,222 |
$10.76M |
| H2017 |
Psysoc rehab svc, per 15 min |
80,748 |
9,770 |
$3.66M |
| T1019 |
Personal care ser per 15 min |
29,254 |
4,473 |
$1.63M |
| T1017 |
Targeted case management |
68,376 |
24,534 |
$1.42M |
| H0038 |
Self-help/peer svc per 15min |
17,551 |
5,447 |
$1.14M |
| 99214 |
|
16,391 |
13,613 |
$423K |
| S0281 |
Medical home, maintenance |
3,069 |
1,963 |
$331K |
| 90834 |
|
7,907 |
4,401 |
$315K |
| S0311 |
Comp mgmt care coord adv ill |
3,596 |
1,926 |
$277K |
| 90837 |
|
4,100 |
2,433 |
$276K |
| 99213 |
|
14,512 |
11,707 |
$228K |
| G9150 |
Medical home level iii |
2,424 |
1,421 |
$215K |
| 90791 |
|
2,299 |
1,996 |
$210K |
| G9148 |
Medical home level 1 |
958 |
821 |
$123K |
| 96372 |
|
9,160 |
7,190 |
$50K |
| 90792 |
|
409 |
387 |
$38K |
| S0280 |
Medical home, initial plan |
344 |
232 |
$14K |
| 99212 |
|
815 |
653 |
$9K |
| 99215 |
Prolong outpt/office vis |
101 |
71 |
$4K |
| S0221 |
Medical conference, 60 min |
49 |
40 |
$2K |
| T2003 |
N-et; encounter/trip |
178 |
49 |
$2K |
| 80305 |
|
360 |
258 |
$2K |
| 90832 |
|
123 |
101 |
$2K |
| 90853 |
|
18 |
14 |
$37.64 |
| T2011 |
Pasrr level ii |
75 |
53 |
$0.00 |